Transoral resection of short segment Zenker's diverticulum and cricopharyngeal myotomy: An alternative minimally invasive approach

Transoral treatment of cricopharyngeal bar and small Zenker's diverticulum remains a challenge. We propose a new transoral approach for transoral cricopharyngeal myotomy (TOCPM) for patients with cricopharyngeal spasm and pharyngeal bar, and for transoral resection of diverticula (TORD) with cricopharyngeal myotomy in the patient with small (<3 cm) Zenker's diverticulum.

[1]  A. Welch,et al.  Comparison of endoscopic diathermy and resection in the surgical treatment of pharyngeal diverticula , 1985, The Journal of Laryngology & Otology.

[2]  E. Moreno gonzález,et al.  Diagnostic and treatment of Zenker's diverticulum: review of our series pharyngo-esophageal diverticula. , 1998, Hepato-Gastroenterology.

[3]  E. Weisberger,et al.  Endoscopic Stapled Diverticulotomy: Treatment of Choice for Zenker's Diverticulum , 2000, The Laryngoscope.

[4]  L. Zuckerbraun,et al.  Treatment of Zenker's diverticula by cricopharyngeus myotomy under local anesthesia. , 1992, The American surgeon.

[5]  I. Cook,et al.  Biomechanics, diagnosis, and treatment outcome in inflammatory myopathy presenting as oropharyngeal dysphagia , 2003, Gut.

[6]  H. Feußner,et al.  Surgical therapy of Zenker's diverticulum: Low risk and high efficiency , 2006, Dysphagia.

[7]  P. Knegt,et al.  Pharyngeal diverticula. , 1987, Clinical otolaryngology and allied sciences.

[8]  R. Y. Lim Endoscopic CO2 laser cricopharyngeal myotomy. , 1995, Journal of clinical laser medicine & surgery.

[9]  W. Payne The treatment of pharyngoesophageal diverticulum: the simple and complex. , 1992, Hepato-gastroenterology.

[10]  D. Castell,et al.  Upper esophageal sphincter and pharyngeal function and oropharyngeal (transfer) dysphagia. , 1996, Gastroenterology clinics of North America.

[11]  A. Duranceau,et al.  Surgical management of Zenker's diverticulum. , 1992, Hepato-gastroenterology.

[12]  D. Castell,et al.  Dilatation therapy for dysphagia in patients with upper esophageal sphincter dysfunction--manometric and symptomatic response. , 1998, Diseases of the esophagus : official journal of the International Society for Diseases of the Esophagus.

[13]  I. Cook,et al.  Predictors of Outcome following Cricopharyngeal Disruption for Pharyngeal Dysphagia , 1997, Dysphagia.

[14]  R. Colton,et al.  Endoscopic microsuture repair of vocal fold defects. , 1995, Journal of voice : official journal of the Voice Foundation.

[15]  P. Kahrilas,et al.  Effectiveness of esophageal dilation for symptomatic cricopharyngeal bar. , 2005, Gastrointestinal endoscopy.

[16]  J. Searl,et al.  Botulinum Toxin Treatment for Cricopharyngeal Dysfunction , 2001, Dysphagia.

[17]  R. D. Cook,et al.  Endoscopic Staple‐Assisted Esophagodiverticulostomy: An Excellent Treatment of Choice for Zenker's Diverticulum , 2000, The Laryngoscope.

[18]  P J Kahrilas,et al.  AGA technical review on management of oropharyngeal dysphagia. , 1999, Gastroenterology.

[19]  J. Dworkin,et al.  Botulinum Toxin Injection of the Cricopharyngeus Muscle for the Treatment of Dysphagia , 2000, Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery.

[20]  J. Salassa,et al.  Comparison of Methods for Determining Cricopharyngeal Intrabolus Pressure in Normal Patients as Possible Indicator for Cricopharyngeal Myotomy , 2002, Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery.

[21]  R. Marttila,et al.  Botulinum Toxin in the Treatment of Cricopharyngeal Dysphagia , 2001, Dysphagia.

[22]  James I. Cohen,et al.  Cricopharyngeal spasm and Zenker's diverticulum , 2003, Head & neck.

[23]  Michael J Pitman,et al.  Endoscopic CO2 laser cricopharyngeal myotomy , 2009, The Laryngoscope.

[24]  Payne Ws The treatment of pharyngoesophageal diverticulum: the simple and complex. , 1992 .

[25]  W. Thumfart,et al.  Treatment of Dysfunction of the Cricopharyngeal Muscle with Botulinum a Toxin: Introduction of a New, Noninvasive Method , 1994, The Annals of otology, rhinology, and laryngology.

[26]  D. Martin-Hirsch,et al.  Autosuture GIA gun: a new application in the treatment of hypopharyngeal diverticula , 1993, The Journal of Laryngology & Otology.

[27]  M. Moizs,et al.  Primary cricopharyngeal dysfunction: treatment with balloon catheter dilatation. , 2001, Gastrointestinal endoscopy.

[28]  I. Cook Investigative Techniques in the Assessment of Oral-Pharyngeal Dysphagia , 1998, Digestive Diseases.